Individual
TAMARA K DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
152 CONANT ST STE 301, BEVERLY, MA 01915-1659
(978) 927-3040
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4625
MA
363AS0400X
Surgical Physician Assistant
PA4625
MA
Other
Enumeration date
04/17/2013
Last updated
08/05/2025
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